Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting
We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral...
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| Veröffentlicht in: | JPEN. Journal of parenteral and enteral nutrition 1990-11, Vol.14 (6), p.588-592 |
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| container_title | JPEN. Journal of parenteral and enteral nutrition |
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| creator | Horowitz, Harold W. Dworkin, Brad M. Savino, John A. Byrne, Daniel W. Pecora, Nanette A. |
| description | We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral blood cultures in febrile patients and clinical response to catheter removal to diagnose catheter-related sepsis. The infection rate was 2.5% (4/158) of PACs and 6.5% (14/214) of TLCs (p=0.124). Colonization rates were 29.1% for PACs and 32% for TLCs. PACs were left in place a significantly shorter length of time than TLCs, 3.1 vs 5.1 days (p |
| doi_str_mv | 10.1177/0148607190014006588 |
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We conclude that pulmonary artery catheters can be used safely for the delivery of hyperalimentation in critically ill patients with no increased risk for catheter-related sepsis compared to triple-lumen catheters. The use of the PAC in this manner allows for the use of a single central venous catheter for the delivery of hyperalimentation and hemodynamic monitoring. (Journal of Parenteral and Enteral Nutrition
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We conclude that pulmonary artery catheters can be used safely for the delivery of hyperalimentation in critically ill patients with no increased risk for catheter-related sepsis compared to triple-lumen catheters. The use of the PAC in this manner allows for the use of a single central venous catheter for the delivery of hyperalimentation and hemodynamic monitoring. (Journal of Parenteral and Enteral Nutrition
14:588-592, 1990)</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bacterial Infections - etiology</subject><subject>Catheterization, Central Venous</subject><subject>Catheters, Indwelling</subject><subject>Critical Care</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parenteral Nutrition, Total</subject><subject>Prospective Studies</subject><issn>0148-6071</issn><issn>1941-2444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1TAQhS1EVW4LT4CQvGKXYsdO4rCr0l90VSoo68h1xsWVYwfbAd1H4i1xyFXFAiFWM9Kc78xoDkKvKTmhtGneEcpFTRraktwRUldCPEMb2nJalJzz52izKIpF8gIdxfhICGE1IYfosKRlVfNyg3524FKQFncyfYUEofgEViYY8LXToJLxLr7HnR8nGUz0DnuNb2c7eifDDp-GTOye2IilG_BdMJMFvJ1HcH-MtA849_gMrPm-UNnpajdBXm6yMsllFzYOS9wFk4z6fVQA_BlSMu7hJTrQ0kZ4ta_H6MvF-V13VWw_Xl53p9tCsZaKQnIYmKorOWjOxKAaUkvdKMIbpdq2bstK1poxAfKeVkJWlOqSS1oqxnnVCmDH6O3qOwX_bYaY-tFEBdZKB36OvSAlrUpWZyFbhSr4GAPofgpmzG_pKemXgPq_BJSpN3v7-X6E4YnZJ5Ln7Tr_YSzs_sey_3B7fkNWb7KyUT5A_-jn4PKn_nnOL0knq18</recordid><startdate>199011</startdate><enddate>199011</enddate><creator>Horowitz, Harold W.</creator><creator>Dworkin, Brad M.</creator><creator>Savino, John A.</creator><creator>Byrne, Daniel W.</creator><creator>Pecora, Nanette A.</creator><general>Sage Publications</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199011</creationdate><title>Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting</title><author>Horowitz, Harold W. ; Dworkin, Brad M. ; Savino, John A. ; Byrne, Daniel W. ; Pecora, Nanette A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3918-a4ed3c65adf438dc706af7c047cc996925a6f338eab158a511f24a12c344598e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bacterial Infections - etiology</topic><topic>Catheterization, Central Venous</topic><topic>Catheters, Indwelling</topic><topic>Critical Care</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parenteral Nutrition, Total</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Horowitz, Harold W.</creatorcontrib><creatorcontrib>Dworkin, Brad M.</creatorcontrib><creatorcontrib>Savino, John A.</creatorcontrib><creatorcontrib>Byrne, Daniel W.</creatorcontrib><creatorcontrib>Pecora, Nanette A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Horowitz, Harold W.</au><au>Dworkin, Brad M.</au><au>Savino, John A.</au><au>Byrne, Daniel W.</au><au>Pecora, Nanette A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting</atitle><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle><addtitle>JPEN J Parenter Enteral Nutr</addtitle><date>1990-11</date><risdate>1990</risdate><volume>14</volume><issue>6</issue><spage>588</spage><epage>592</epage><pages>588-592</pages><issn>0148-6071</issn><eissn>1941-2444</eissn><abstract>We prospectively studied the risk of catheter-related sepsis (CRS) in 75 critically ill patients who received total parenteral nutrition (TPN) through 158 pulmonary artery catheters (PACs) and 214 triple-lumen catheters (TLCs). We relied on semiquantitative cultures of the catheter tips, peripheral blood cultures in febrile patients and clinical response to catheter removal to diagnose catheter-related sepsis. The infection rate was 2.5% (4/158) of PACs and 6.5% (14/214) of TLCs (p=0.124). Colonization rates were 29.1% for PACs and 32% for TLCs. PACs were left in place a significantly shorter length of time than TLCs, 3.1 vs 5.1 days (p<0.005). Guidewire exchanges and subclavian vein insertions were associated with a decreased rate of CRS when compared to new insertions and internal jugular vein insertions, respectively.
We conclude that pulmonary artery catheters can be used safely for the delivery of hyperalimentation in critically ill patients with no increased risk for catheter-related sepsis compared to triple-lumen catheters. The use of the PAC in this manner allows for the use of a single central venous catheter for the delivery of hyperalimentation and hemodynamic monitoring. (Journal of Parenteral and Enteral Nutrition
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| ispartof | JPEN. Journal of parenteral and enteral nutrition, 1990-11, Vol.14 (6), p.588-592 |
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| source | Wiley-Blackwell Journals; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Aged, 80 and over Bacterial Infections - etiology Catheterization, Central Venous Catheters, Indwelling Critical Care Female Humans Male Middle Aged Parenteral Nutrition, Total Prospective Studies |
| title | Central Catheter-Related Infections: Comparison of Pulmonary Artery Catheters and Triple Lumen Catheters for the Delivery of Hyperalimentation in a Critical Care Setting |
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